| NPI | 1447426465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BRINK Billing And Credentialing Manager 208-346-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2024-07-26 |